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MRS. EMILIA ELIZABETH WILSON FNP-C
NPI 1053069468
Nurse Practitioner - Acute Care in Raymore, MO

Active since March 15, 2022PECOS EnrolledAccepts Medicare Assignment
242 BROADMOOR DR, RAYMORE, MO 64083(816) 803-0433 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2022, Jun 10, 2022 (2 updates tracked since 2022).

About Mrs. Emilia Elizabeth Wilson Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. EMILIA ELIZABETH WILSON FNP-C (NPI 1053069468) is an individual acute care provider in Raymore, Missouri, licensed in Missouri (2015019799) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053069468
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. EMILIA ELIZABETH WILSONCredential: FNP-C
Location Address242 BROADMOOR DRRaymore, MO 64083-8642
Mailing Address8009 E 155th StBelton, MO 64012-9520 · (816) 803-0433
Phone(816) 803-0433
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 15, 2022
Last NPPES UpdateNovember 4, 20222 updates tracked since enumeration
NPPES CertifiedNovember 4, 2022
✔ NPI 1053069468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MO · 2015019799
242 BROADMOOR DR, Raymore, MO 64083
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Emilia Elizabeth Wilson Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466814785
PECOS Enrollment IDI20230817001852, I20230817001980
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Emilia Wilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Primary Care PA
0.8 mi
Family Medicine
1500 W FOXWOOD DR STE B
Raymore, MO 64083
  • Reassigned Medicare billing, Kansas enrollment
  • 28 clinicians in this Medicare group
NPI 1073082350 (850) 377-0925
Carbon Health Medical Group Of Kansas PA
13 mi
Urgent Care
8600 WARD PKWY STE 1019
Kansas City, MO 64114
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • 40 clinicians in this Medicare group
NPI 1497357396 (417) 822-5933
Empowerme Medical Group, PC
224 mi
Geriatric Medicine
1335 STRASSNER DR
Brentwood, MO 63144
  • Reassigned Medicare billing, Missouri enrollment
  • 19 clinicians in this Medicare group
NPI 1811682107 (877) 367-9772

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
63 services27 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
46 services21 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
43 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64083 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAYMORE URGENT CARE
Clinic/Center (Urgent Care)
242 BROADMOOR DR
RAYMORE, MO 64083
Cass County (816) 415-8855

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emilia Wilson's NPI number?

The NPI number for Emilia Wilson is 1053069468. It was assigned to this individual provider in the NPPES registry on March 15, 2022.

Where is Emilia Wilson located?

Emilia Wilson practices at 242 Broadmoor Dr, Raymore, MO 64083. The listed phone number is (816) 803-0433.

What is Emilia Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Emilia Wilson enrolled in Medicare?

Yes. Emilia Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Emilia Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emilia Wilson reassigns Medicare benefits to 3 organizations: Geriatric Primary Care PA (Raymore, MO), Carbon Health Medical Group Of Kansas PA (Kansas City, MO) and Empowerme Medical Group, PC (Brentwood, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emilia Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Emilia Wilson was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.